location
search-icon
person
Susan D Lo, DMD
Pediatric Dentist in East Boston, Massachusetts
NPI 1396764601

Susan D Lo is a Pediatric Dentist based in East Boston, MA and is specialized in Pediatric Dentistry. Susan D Lo practices in East Boston, MA and has the professional credentials of DMD. The NPI Number for Susan D Lo is 1396764601 and holds a License No. 17369 (Massachusetts).

The current practice location address for Susan D Lo is 10 Gove St, East Boston, MA and can be reached out via phone at 617-569-5800 and via fax at 617-568-4780.

Location: 10 Gove St, East Boston, MA, 02128-1920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396764601
Provider Name
Susan D Lo
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
10 Gove St, East Boston, MA, 02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0275204 05 MA
institution
Provider Business Practice Location Address Details
Address
10 Gove St
City
East Boston
State
Massachusetts
Zip
02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780
person
Provider Business Mailing Address Details
Address
10 Gove St
City
East Boston
State
Massachusetts
Zip
02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
17369 (Massachusetts)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.